IR@PKUHSC  > 北京大学第三临床医学院  > 骨科
学科主题临床医学
Adjacent segment disease after anterior cervical decompression and fusion: analysis of risk factors on X-ray and magnetic resonance imaging
Zhao Yanbin; Sun Yu; Zhou Feifei; Wang Shaobo; Zhang Fengshan; Pan Shengfa
关键词cervical fusion adjacent segment disease magnetic resonance imaging
刊名CHINESE MEDICAL JOURNAL
2014-11-20
DOI10.3760/cma.j.issn.0366-6999.20141766
127期:22页:3867-3870
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]FOLLOW-UP ; DEGENERATION ; LEVEL ; ARTHRODESIS ; DISKECTOMY
英文摘要

Background Adjacent segment disease (ASD) is common after cervical fusion. The aim of this study was to evaluate the risk factors for ASD on X-ray and magnetic resonance imaging (MRI).

Methods Patients included in this study had received revision surgeries after developing symptomatic ASD following anterior decompression and fusion. A control group that had not developed ASD was matched 1:1 by follow-up time and fusion segments. Plate-to-disc distances (PDDs), developmental cervical canal stenosis on X-ray, cervical disc degeneration grading, and cervical disc bulge impingements on preoperative MRI were measured and compared between the ASD group and the control group.

Results Thirty-four patients with complete radiographic data were included in the ASD group. The causative segments of ASD included nine cases of C3-4, 18 cases of C4-5, three cases of C5-6, and four cases of C6-7. The ASD occurred at the upper adjacent segments in 26 patients and at the lower adjacent segments in eight patients. PDD distributions were similar between the ASD group and the control group. Developmental cervical canal stenosis was a risk factor for ASD, with an odd ratio value of 2.88. Preoperative cervical disc degenerations on MRI were similar between the ASD group and the control group. In the upper-level ASD group, the disc bulge impingement was (19.7 +/- 9.7)%, which was significantly higher than that of the control group of (11.8 +/- 4.8)%.

Conclusions ASD was more likely to develop above the index level of fusion. Developmental cervical canal stenosis and greater disc bulge impingement may be risk factors for the development of ASD.

语种英语
WOS记录号WOS:000346329600007
引用统计
被引频次:2[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/58264
专题北京大学第三临床医学院_骨科
作者单位Peking Univ Third Hosp, Dept Orthopaed Surg, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Zhao Yanbin,Sun Yu,Zhou Feifei,et al. Adjacent segment disease after anterior cervical decompression and fusion: analysis of risk factors on X-ray and magnetic resonance imaging[J]. CHINESE MEDICAL JOURNAL,2014,127(22):3867-3870.
APA Zhao Yanbin,Sun Yu,Zhou Feifei,Wang Shaobo,Zhang Fengshan,&Pan Shengfa.(2014).Adjacent segment disease after anterior cervical decompression and fusion: analysis of risk factors on X-ray and magnetic resonance imaging.CHINESE MEDICAL JOURNAL,127(22),3867-3870.
MLA Zhao Yanbin,et al."Adjacent segment disease after anterior cervical decompression and fusion: analysis of risk factors on X-ray and magnetic resonance imaging".CHINESE MEDICAL JOURNAL 127.22(2014):3867-3870.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Zhao Yanbin]的文章
[Sun Yu]的文章
[Zhou Feifei]的文章
百度学术
百度学术中相似的文章
[Zhao Yanbin]的文章
[Sun Yu]的文章
[Zhou Feifei]的文章
必应学术
必应学术中相似的文章
[Zhao Yanbin]的文章
[Sun Yu]的文章
[Zhou Feifei]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。